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Individual

EDMOND E O'NEILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 LANGWORTHY ST, DUBUQUE, IA 52001-7313
(563) 584-3450
(563) 584-3171
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036-085286
IA
208600000X
Surgery Physician
036085286
IL
208600000X
Surgery Physician
Primary
20220
IA
208600000X
Surgery Physician
36216
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0182071
IA
Enumeration date
05/20/2006
Last updated
11/12/2015
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